Hospital Organizational Design Can Impede Patient Transitions, AHRQ-Funded Study Finds
Hospital organizational design poses challenges for doctors in maintaining a high standard of medical care during a patient’s transition from the emergency department to an inpatient unit, according to an AHRQ-funded study. Doctors spent considerable time recognizing and responding to changing situations during patients’ transition of care, researchers found. And physicians’ divided attention could be further impacted by factors such as heavy reliance on technology rather than face-to-face hospital staff interaction and a lack of consistent procedures during care transitions. Structured coordination interventions such as checklists, care pathways and standardized protocols were identified as primary ways to improve care transitions between teams, the study indicated. The study, “Navigating Care Transitions: A Process Model of How Doctors Overcome Organizational Barriers and Create Awareness,” and abstract appeared in the February issue of the journal Medical Care Research and Review.
Med Care Res Rev. 2015 Feb;72(1):25-48. doi: 10.1177/1077558714563170. Epub 2014 Dec 16.
Navigating care transitions: a process model of how doctors overcome organizational barriers and createawareness.
© The Author(s) 2014.
care transitions; coordination; high reliability; operational failures; quality
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